IndividualActive
Brandon Ortiz
NPI 1376104414 · Behavior Technician · Eustis, FL
Provider details
- NPI number
- 1376104414
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
2785 S Bay St Ste a
Eustis, FL 32726-6591
Phone: (844) 668-6222
Fax: (888) 975-0599
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 963
Mount Dora, FL 32756-0963
Registry dates
- Enumerated
- 2019-06-27
- Last updated
- 2022-06-28
- Certified
- 2022-06-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.